Individual
MS. SUSAN PAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 AMSTERDAM AVE, CLARK 9, NEW YORK, NY 10025-1716
(212) 523-4936
(212) 636-1342
Mailing address
5900 ARLINGTON AVE, #3V, RIVERDALE, NY 10471-1302
(718) 796-5915
(212) 636-1342
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02080808
—
NY
Enumeration date
02/27/2006
Last updated
08/25/2010
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